网络成瘾症治疗方法研究进展

利用文献分析方法分析和总结了目前国内关于网络成瘾治疗方法的研究进展。简要回顾了网络成瘾症的概念、症状、诊断标准、分类和病因研究现状;介绍和分析了现有文献已报道的心理治疗、药物治疗、整合治疗单元、家庭治疗、社会支持治疗等方法;对网络成瘾治疗方法研究现状进行了讨论并提出了几点研究建议。     

部分尿路腔镜手术麻醉的选择

就某些情况部分尿路腔镜手术麻醉问题进行探讨,从国内外现状以及个人工作经历等方面对该问题进行解析,提出如何按照循证医学理念,结合临床实际与决策者手术技能来解决实际工作中的问题,对部分尿路腔镜手术麻醉要求进行革新。     

The Potential of Anamnestic Comparative Self-Assessment (ACSA) to Reduce Bias in the Measurement of Subjective Well-Being

Background: The conventional question (CQ) on subjective well-being (SWB) is e.g. “How is life?”, with ratings between e.g. ‘Best’ and ‘Worst possible’. Disadvantages may be casualness of responses and biases of proximate, peer or cultural relativity. Alternatively, with Anamnestic Comparative Self-Assessment (ACSA), the scale anchors are the respondents’ self-defined memories of their best and worst periods in life. Thus ACSA uses life review and experiential scale anchors. Objective: To compare the validity, sensitivity and responsiveness of the CQ and ACSA. Method: ACSA and the CQ were administered in parallel to 2584 university-hospital patients suffering from a wide range of psychiatric and somatic diseases. Results: ACSA and CQ did not measure the same construct (r = 0.50). CQ ratings were almost normally distributed, whereas ACSA ratings were overall lower, and clearly positively skewed, suggesting greater sensitivity to the respondents’ diseased state. Contrary to CQ, ACSA ratings of critically ill patients with end-stage liver disease were very low. After life-saving liver transplantation, ACSA ratings increased significantly more than CQ ratings, suggesting better responsiveness of ACSA to objective change. Trait-like socio-demographic variables such as sex, age, and marital status influenced CQ, but not ACSA ratings. Conclusion: In between-subject studies, depending on one’s study objectives, ACSA should be considered as a complement or an alternative to conventional SWB instruments. The CQ is probably preferable when socio-demographic variables are study endpoints. In longitudinal or intervention studies and for intercultural comparisons, ACSA, which reduces the need for correction of several biases or confounders, seems more useful.     

Socializing Retail Employees in Ethical Values: The Effectiveness of the Formal versus Informal Methods

The purpose of this study was to test the effectiveness of an informal socialization process for reported employee attitudes towards unethical behavior within a large retail organization. This study compares the reported ethical attitudes of full-time employees (N = 203) who were socialized using an informal approach, to the reported ethical attitudes of their managers (N = 274) who were socialized using a formal approach. The results indicate that the informal approach to ethical socialization was not as effective as the formal approach to ethical socialization. Employees were more accepting of unethical behavior than were their managers. Implications are discussed and recommendations for ethical socialization techniques are provided.     

树立急救白金10分钟理念，提高社区猝死抢救成功率

探讨建立社区急救体系提高猝死抢救成功率,比较国际与我国的急救现状、分析建立社区急救体系的保障因素、建立大众与社区急救流程、分析“急救白金十分钟”抢救的时效性规律。提出建立社区以家庭为个体急救单位、单元有志愿者、大楼设置救护小组、社区内建立自救站的大众急救网络;在其中组织多层面的大众急救宣传的培训;设置醒目的急救器械;设置社区内的急救流程。社区医院的建设需要政府的大力支持,要努力提高急救人员素质、建立长期培训和准入制度、高危人群筛查、建立对讲呼叫通讯网络、配备急足够的急救器材。最终建立和达到社会范畴的“急救白金十分钟”的时效性理想。     

新生儿重症监护室中放弃治疗的伦理问题

对于新生儿重症监护室中的一部分危重新生儿,虽然可以借助高新尖的医疗技术挽留他们的性命,但却不能避免其出现影响远期生存质量的后遗症。因此患儿家属和医务人员陷入了是否对这些危重新生儿实施放弃治疗的两难困境。对NICU中放弃治疗的对象、伦理学依据、伦理学意义以及如何实施放弃治疗的问题加以讨论,为NICU医务人员提供有益参考。     

关于多发性骨髓瘤的诊断

多发性骨髓瘤是浆细胞克隆性增生的恶性肿瘤,起病隐匿,临床表现复杂多样,且无特异性,诊断上依赖实验室检查。临床上对该病足够的认识,正确诊断尤为重要。在诊断中,科学地应用哲学思维,有助于减少误诊和漏诊。     

刻板印象内容模型：理论假设及研究

介绍了刻板印象内容模型(SCM)的来源、理论假设和在美国与欧洲(个人主义文化)、东亚(集体主义文化)样本中的实证研究。SCM假设:(1)用热情和能力区分不同群体的刻板印象;(2)对外群体的刻板印象是混合的;(3)高社会地位群体被刻板为具有高能力,竞争性群体被刻板为缺乏热情;(4)刻板印象中存在参照群体偏好和外群体贬抑。在比较和评价SCM与其他理论的基础上,提出了刻板印象内容研究进一步细化和扩展的方向     

应用项目反应理论对瑞文测验联合型的分析

使用BILOG-MG3.0软件,边际极大似然估计,3参数Logistic模型对354名不同能力水平的男性青年的瑞文测验联合型数据进行了分析。结果显示:大多数瑞文测验联合型的题目都适合3参数Logistic模型(有6道题不适合)。整个测验的信息函数峰值的位置在难度量表的-3到-2之间,其值为16.82。共有18道题的信息函数峰值在0.2以下。从区分度来看,72道题目的区分度均大于0.5,比较理想。难度参数显示所有题目均较低,绝大部分都在0以下,最高的只有1.01。题目的难度主要由所需的操作水平决定。伪猜测参数在0.07-0.24之间。综合分析表明瑞文测验联合型对正常青年的智力评价精度较差。     

长处和困难问卷研究

目的:建立儿童长处和困难问卷(SDQ)(教师用表)的上海地区常模,并对其进行信度和效度检验。方法:对上海市12所幼儿园和中小学校的2128名学生进行长处和困难问卷(教师用表)的评定,并对其中的47名预备班(6年级)学生间隔六周进行了再次评定。结果:对长处和困难问卷(教师用表)进行标准化,制定了上海地区常模。信度检验:问卷总分Cronbach的α系数为0.672;条目与因子分之间的相关系数在0.323-0.910(p<0.001)之间;间隔6周后问卷总分的重测信度为0.547,各因子的重测信度在0.404-0.640(p<0.01)之间,符合心理测量学的要求。结论:长处和困难问卷((教师用表)适合于上海地区儿童和青少年的行为评估。